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New Member Registration / REGISTRación para nuevos MIEMBROs

Thank you for considering joining our Parish. Please fill out the form below and a representative will get back to you shortly. God Bless You.

Gracias por considerar unirse a nuestra parroquia. Por favor llene el siguiente formulario y un representante le llamara lo mas pronto posible. Que Dios le bendiga.
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- First Name REQUIRED Please fill out this field. Please enter valid data.
  
  Last Name REQUIRED Please fill out this field. Please enter valid data.
- Street Address REQUIRED Please fill out this field. Please enter valid data.
- City REQUIRED Please fill out this field. Please enter valid data.
  
  State REQUIRED Please fill out this field.
  
  Zip REQUIRED Please fill out this field. Please enter a zip code.
- Phone Number REQUIRED Maximum 20 characters Please fill out this field. Please enter a phone number.
- Email REQUIRED Please fill out this field. Please enter an email address.
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St.Peter's &
St.Mary's Church